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No contraindications or contact needed..can do drips and iv push.

When i did my hospital rotations we had an awesome type I aortic dissection. Long story short- a 50ish years old obese woman, week after normal vaginal birth. Presented to the ed by a bls crew with a complaint of sob. Initally she seemed fine. I was taking her vitals and preparing to get and iv...

And now academic paramedics with 5 years of experience can go on and become PA's. So tons of good medics leave.

In Israel, we face quite the same difficulties. We are in the process of turning the profession to acdamia-based. Currently 66℅ of the paramedics working in the field have a degree (b.ems or other relevant degree). But the problem still exists, the job is hard and medics are overworked. The last...

Depends on how drunk. Basically i'd consider opiates but definitely smaller doses cautiously. Ketamine if needed.

Awesome case, i really like these cases, true emergency medicine. Yea i guess you could throw an albuterol/ salbutamol neb but like others have said and from what i was taught, this is not whats gonna save that patient. The monitor strip, classic Hyperk- extremely wide QRS too slow to be vtach.

Ketamine/midazolam/morphine or fentanyl (usually with ketamine). Depends on the patient. TBI's,CHF will get versed probably, Asthma/COPD/Hypotensive will get ketamine. Some will get both.

Lets say rectus femoris 5cc each side.. or 3 and 2 in each deltoid Definitely not the optimal route. But if all fails..

50mg/ml here.

Nope, I mean 5mg/kg Intramuscular. Definitely not something we do routinely but could do.

Yep I noticed already. And if you happen to be around tel aviv then pm me, though i will probably be in the army.

We can also sedate and tube with ketamine IM 5mg/kg

We got BIG/NIO ( i'd rather have ez io) and protocols wise its an alternative for iv line. We thought about it but we were close to the hospital so it ended with a neb and epi IM.

Our protocols allow cpap for asthma patients, but paramedics usually dont really go for it. The other day we had a sick asthma patient and we couldn't get a line started to give magnesium. So i was like lets cpap this guy. The paramedic tutoring me was like nah i dont do that. The em doc agreed...

Hey there guys I'm Eden, 20YO, paramedic student from Israel soon finishing school . Been lurking on this site for a lil while, came here out of interset in different ems systems. It is really interesting to see the different approaches to ems and the sometimes different treatement. Learned...

For physiology i'd recommend Vander's human physiology.